E-Posters-Use of Transcutaneous Posterior Tibial Neurostimulation(t-PTNS) in Chilean Patients: Could a Home-Based Supervised Treatment Option be More Effective Than an Office-Based Model?

Use of Transcutaneous Posterior Tibial Neurostimulation(t-PTNS) in Chilean Patients: Could a Home-Based Supervised Treatment Option be More Effective Than an Office-Based Model? - Javier Pizarro Berdichevsky, MD

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This document summarizes a study on the use of transcutaneous posterior tibial neurostimulation (t-PTNS) with a transcutaneous electrical nerve stimulation device (TENS) for the treatment of overactive bladder (OAB). The study was conducted retrospectively using data collected between 2008-2018.<br /><br />The study included 120 female patients who met the inclusion criteria. Three groups were identified based on the patients' treatment history: Group 1 consisted of patients who had not previously used anticholinergics and only underwent t-PTNS, Group 2 consisted of patients who used t-PTNS after failing with anticholinergics, and Group 3 consisted of patients who used t-PTNS concurrently with anticholinergics.<br /><br />The primary endpoint of the study was the efficacy of the treatment, as evaluated subjectively by the patients. The overall success rate of the treatment was found to be 50%. Group 1 had the highest success rate (58.3%), followed by Group 2 and Group 3 (46% and 46.8%, respectively).<br /><br />Of the patients who acquired the TENS device and completed the 36 sessions, 72% achieved success. Logistic regression analysis revealed that acquiring the TENS device and performing t-PTNS at home was a strong protective factor against treatment failure.<br /><br />In conclusion, the study suggests that t-PTNS with a TENS device can be an effective treatment for OAB. Performing the therapy at home was found to be associated with a higher success rate. Further research could focus on exploring the factors influencing treatment outcomes and evaluating the long-term effects of t-PTNS.

Meta Tag

Concept Transcutaneous Tibial Nerve Stimulation

Concept Overactive Bladder

Concept Transcutaneous Electrical Nerve Stimulation

Concept Antimuscarinic Agents

Concept Treatment Success

Keywords

transcutaneous posterior tibial neurostimulation

t-PTNS

transcutaneous electrical nerve stimulation device

TENS

overactive bladder

OAB

anticholinergics

retrospective study

treatment efficacy

home therapy

Transcutaneous Tibial Nerve Stimulation

Overactive Bladder

Transcutaneous Electrical Nerve Stimulation

Antimuscarinic Agents

Treatment Success